Housing Move Out or Room Change

Housing Move Out Form
Student Name:

First NameMiddle NameLast Name
ETA ID:
Email
example@example.com
Today's Date:

MonthDayYear
Apartment Building and Number:
Reason for Moving

Other
Forwarding Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move Out Date

MonthDayYear
Deposit refunds are issued between 15 and 30 days after the responsible date.
Domestic students will receive a check refund.
International students receive a wire refund - subject to a $30 fee.
Refund Type